BUSM Performance Expectations
BOSTON UNIVERSITY SCHOOL OF MEDICINE
PERFORMANCE EXPECTATIONS
For courses and clerkships
1. For all measured criteria on all OME student evaluations of all courses and clerkships:
The BUSM expectation of performance is a rating of no less than 80% of students responding Good-Very Good-Excellent.
AND a rating of no less than 50% of students responding Very Good-Excellent.
2. For all criteria in the area of clinical skills measured by the Graduate Questionnaire and required by the LCME:
The BUSM expectation of performance is a rating of no less than 80% of students responding “Agree-Strongly Agree” for questions so measured, or “Appropriate” for questions where that response is an option.
For Students (Referenced to the BU CARES Institutional Learning Objectives).
3. For NBME examinations Parts 1, 2CK: (U, R)
A. Overall
The BUSM expectation of performance has two components; a pass rate which exceeds the national pass rate and a BUSM mean score which exceeds the national mean.
B. Discipline-Specific
The BUSM expectation of performance is that the School’s mean score for every sub-section exceeds the national mean.
4. For NBME examinations Part 2CS: (B, U, C, A)
The BUSM expectation of acceptable performance is a pass rate at least equal to the national pass rate.
5. For all NBME Subject (Shelf) examinations used by clerkships: (U, R)
At the end of each academic year, the BUSM expectation of performance is a BUSM mean score which exceeds the national mean.
6. For NBME examination Part 3: (U, R)
The BUSM expectation of performance is a pass rate which exceeds the national rate.
7. For Evaluation of BUSM Graduates by Residency Program Directors: (B, U, C, A, R, E, S)
The BUSM expectation of performance has two components; for each competency assessed, 50% of graduates should be rated by program directors as “Strongly Agree Competent”, and 80% of graduates should be ranked in the top half of their PGY-1 cohorts.
8. For Evaluation of all three End of Year Assessments of clinical skills: (B, U, C, A)
The BUSM expectation of performance is that all students pass such examinations.
9. For Student Achievement of Specific Clinical Skills: (B, U, C, A)
The BUSM expectation of performance is:
By the end of first year, to demonstrate competence in
Establishing rapport with patient
Obtaining a complete , chronological History of Present Illness
Obtaining the cardinal attributes of a symptom
Obtaining a Family History and Psychosocial History
Obtaining vital signs
By the end of Second Year, to demonstrate competence in
Establishing effective communication with the patient: intermediate level
Substance abuse screening, counseling: basic level
Obtaining a complete HPI including pertinent positives and negatives
Proper techniques of the Cardiac exam
Proper techniques of the Abdominal examination: intermediate level
Proper techniques of the Lung examination: intermediate level
Proper techniques of HEENT examination: intermediate level
Presenting a case orally- intermediate level
Writing up a case-intermediate level
Writing a SOAP note-basic level
By the end of Third year, to demonstrate competence in
Performing a cardiovascular examination-advanced level
Performing a Pelvic examination- intermediate level
Performing an Abdominal examination (including identification of abnormal)-advanced level
Psychiatric assessment-intermediate level
Reading and interpreting an electrocardiogram
Writing up a case- advanced level
Differential diagnosis/clinical reasoning- advanced level
By the end of Fourth year, to demonstrate competence in
Performing a neurological examination- intermediate level
Geriatric Assessment- intermediate level.
Response of the Medical Education Committee to the Failure to meet a BUSM Performance Expectation
Course or Clerkship Performance
The MEC shall direct the OME to meet with the course or clerkship director, ask for an explanation of why the particular standard was not met, work with the director to develop a plan for improvement, and request that the director present that plan to the MEC within two months .
Student Performance
For the NBME Parts One and Two CK, the MEC will require the OME to provide an analysis of subject performance within each examination.
For NBME subject (shelf) examinations, the MEC will ask the clerkship director to review the Item Analysis report provided by the NBME and to report on areas which can be improved.
For End of Year Assessments, the OME will provide a systematic process of review and remediation for those who do not meet the standard, and will report test and remediation results to the MEC.
